John R Fowler, LISW-CP, CADC-III is a
Counselor - Addiction (substance Use Disorder) based in Cownay, South Carolina. John R Fowler is licensed to practice in Wisconsin (license number 721) and his current practice location is
203 Beaty Street, Cownay, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 248-9216.
NPI number for John R Fowler is 1073671715 and his current mailing address is P O Box 30819, Myrtle Beach, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073671715.
Healthcare Provider's Profile
| Full Name | John R Fowler |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 203 Beaty Street, Cownay, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073671715
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 01/08/2008
Medical Identifiers
Medical identifiers for John R Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073671715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 721 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 2307 (South Carolina) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John R Fowler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John R Fowler, LISW-CP, CADC-III
P O Box 30819,
Myrtle Beach, SC 29588-0014
Ph: (843) 248-9216 | John R Fowler, LISW-CP, CADC-III
203 Beaty Street,
Cownay, SC 29526
Ph: (843) 248-9216 |
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